Archived: Mellor Nook

Mellor Nook is located in the small town of Mellor in Stockport. The home provides care and accommodation for up to 15 older people. Bedrooms are situated on the ground floor and first floor of the home. Access between floors is via a stair lift and staircase. Eleven bedrooms have an en-suite toilet. The building is situated in its own grounds with secure gardens and off-road parking. At the time of our inspection 13 people were living at Mellor Nook Residential Care Home.

This unannounced inspection was conducted by one adult social care inspector from the Care Quality Commission on the 24 August 2018.

At our last inspection in November 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection

The provider is required to have a registered manager as part of their conditions of registration. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection, the service was in the process of appointing a new registered manager.

People said staff treated them with kindness and compassion. Comments included, "They are very kind, I feel safe and cared for," and "They are kind, considerate and available if you need assistance."

Staff knew people's care needs, preferences, personal histories and backgrounds. People said staff protected their privacy and their dignity was respected. People were supported to be independent.

People received care from staff who were appropriately trained to effectively carry out their job roles. People were supported to have maximum choice and control of their lives. The service acted in accordance with the Mental Capacity Act (2005). People's nutritional needs were met and they were supported to maintain good health and receive ongoing healthcare support.

Staff were aware of their responsibilities to safeguard people from abuse. Safe recruitment practices were in place and the service followed national and local safeguarding guidance. There were sufficient staff to care for people. Risks to people's safety were assessed and medicines were administered safely.

People received personalised care that met their individual needs. People were given appropriate support and encouragement to access meaningful activities and follow their individual interests.

We found that records written in a positive and respectful way we found that records provided guidance on how to support people.

Mellor Nook had arrangements in place to receive feedback from people that used the service, their relatives, external stakeholders and staff members about the services provided.

We found that records were sufficiently maintained and effective systems in place to monitor the quality of the service.

We found that the care records identified people's needs in relation to the care and support they required to maintain their health and wellbeing. Two people spoken with indicated that the staff provided sensitive and flexible care and support and they were well cared for.

We observed staff administering medicines and saw that these were administered safely.

We saw that people were living in safe, accessible surroundings that promoted their wellbeing.

We looked at the staff training records and noted that staff had been provided with training relevant to their job role.

We saw that records required to be kept to protect people's safety and wellbeing were maintained and held securely where required.

We found that each person using the service had a care plan in place and from speaking with the managers and staff it was demonstrated that they had a good knowledge and understanding of people's needs and how best to meet those needs.

We found evidence that staff received training but this had been inconsistent and improvements were needed. We have asked the provider to take appropriate action to address this matter.